Abstract
Postoperative management of sternal dehiscence requires the organised effort of a multidisciplinary medical team, including orthopaedic surgeons, plastic surgeons, microbiologists, critical care nurses and rehabilitation experts. Clinical care of this complication impacts heavily on health-care costs, length of hospital stay, and the time to full recovery and return to regular work activity. There are various surgical approaches to sternal resynthesis, but they are often unsuccessful. In this paper, we describe the case of a 67-year-old male complaining of chronic pain due to sternal dehiscence after coronary artery bypass grafting surgery. We first report a technique for sternal resynthesis, performed in the cardiac surgery setting, using a combination of autologous bone graft and autologous platelet-derived gel (APG), and describe its postoperative management and outcome. The four-month follow-up was uneventful and a CT scan confirmed full healing of the nonunion site with solid bridging bone.
References
Feb 1, 1975·The Journal of Trauma·R N Hensinger, H A Berkoff
Nov 1, 1991·The Annals of Thoracic Surgery·G TavillaL K Lacquet
Sep 1, 1991·Reviews of Infectious Diseases·N J Ehrenkranz, S J Pfaff
Feb 1, 1990·The Annals of Thoracic Surgery·F D LoopP C Taylor
May 16, 1998·The Annals of Thoracic Surgery·M A BorgerT E David
Jun 25, 1998·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·R E MarxK R Georgeff
Apr 11, 2000·The Thoracic and Cardiovascular Surgeon·F RobicsekD Bhatia
Feb 2, 2002·Facial Plastic Surgery : FPS·Sumeet Bhanot, James C Alex
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·B GårdlundJ Vaage
Dec 11, 2003·The Journal of Thoracic and Cardiovascular Surgery·Tomaso BottioGino Gerosa
Aug 7, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·David H SongJai Raman
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Ravi KarraKeith S Kaye
Oct 25, 2006·The Heart Surgery Forum·Yildirim ImrenYakup Sariguney
Dec 13, 2007·The Journal of Trauma·Chao-Ching ChiangYun-Hsuan Tzeng
Feb 15, 2008·Scandinavian Cardiovascular Journal : SCJ·Arash MokhtariRichard Ingemansson
Oct 31, 2008·Journal of Tissue Engineering and Regenerative Medicine·Gianluca VadalàVincenzo Denaro
Nov 22, 2008·The Annals of Thoracic Surgery·Christoph SchimmerRainer Leyh
Feb 28, 2009·Artificial Cells, Blood Substitutes, and Immobilization Biotechnology·Shyh Ming KuoShwu Jen Chang
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Erez KachelStephen Fremes
Nov 26, 2010·The Journal of Thoracic and Cardiovascular Surgery·Judith ManniënBirgit H B van Benthem